Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Active Life Spine & Joint Clinic LLC

Organization Physical Therapist · NPI 1083187553

Active Life Spine & Joint Clinic LLC is a Physical Therapist in Rockford, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 E State St Ste 222
Rockford, IL 61108-1956
Phone: (224) 425-0548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1083187553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Samaniego — Owner · (224) 425-0548
NPI enumeratedJanuary 8, 2019
Last updated in NPPESJanuary 8, 2019
Mailing address3600 E State St Ste 222, Rockford, IL 61108-1956

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